Organization
BEYOND THE WAVES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI LISENBY-HART LPC-S, CCTP (OWNER)
(225) 443-1971
Entity
Organization
Contact information
Practice address
214 S BURNSIDE AVE STE 202, GONZALES, LA 70737-3453
(225) 494-2260
Mailing address
214 S BURNSIDE AVE STE 202, GONZALES, LA 70737-3453
(225) 494-2260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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